Quality indicators to be assessed in the Nairobi Newborn Study
| Structure | Process | Outcome |
|---|---|---|
| (1) Infrastructure: such as a clean water source, reliable electricity and a sink with soap for hand washing (2) Equipment: such as bag and mask, oxygen cylinder, nasal cannula/prongs, incubator, baby scale, cup to measure expressed breast milk, and intravenous fluid and infusion set (3) Job aids: such as feeding charts, fluids charts, Apgar charts, treatment sheets, and guidelines and protocols (4) Essential drugs: such as ampicillin, gentamicin, diazepam and dexamethasone (5) Profile of human resources: such as numbers of nurses, doctors and consultants | (1) Nursing knowledge questionnaire score* (2) Frequency of performance of key neonatal interventions according to the nursing questionnaire (3) Adequacy of medical record documentation (4) Accuracy of prescription by clinicians: for antibiotics, feeds and fluids (5) Evidence of regular monitoring of vital signs | (1) Discharge outcome: alive, dead, referred or absconded |
*Structural indicators and the nursing knowledge questionnaire score will be available for the maternity and neonatal units. Other indicators are only for the neonatal unit.